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Nationwide rates for HCPCS L3763

Elbow-wrist-hand orthosis (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $478.63 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $446.68 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $457.09 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $467.74 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $724.44